<?xml version="1.0" encoding="UTF-8"?>
<html xmlns="http://www.w3.org/1999/xhtml" 
      xmlns:wicket="http://wicket.apache.org/dtds.data/wicket-xhtml1.4-strict.dtd">

<body>
  <wicket:panel>

    <form wicket:id="form" class="userForm">
      <fieldset>
        <span class="formSectionTitle"><wicket:message key="general">General</wicket:message></span>
        <div class="formField">
          <label class="fieldLabel" for="name"><wicket:message key="name">Name: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="name" wicket:id="name" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="environment"><wicket:message key="environment">Environment: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="environment" wicket:id="environment" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="platform"><wicket:message key="platform">Platform: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="platform" wicket:id="platform" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="country"><wicket:message key="country">Country: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="country" wicket:id="country" type="text" />
        </div>
      </fieldset>
  
      <fieldset>
        <span class="formSectionTitle"><wicket:message key="server">Server</wicket:message></span>
        <div class="formField">
          <label class="fieldLabel" for="host"><wicket:message key="host">Host: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="host" wicket:id="host" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="port"><wicket:message key="port">Port: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="port" wicket:id="port" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="username"><wicket:message key="username">Username: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="username" wicket:id="username" type="text" />
        </div>
        <div class="formField">
          <label class="fieldLabel" for="password"><wicket:message key="password">Password: </wicket:message></label>
          <span class="fieldRequiredFlag">*</span>
          <input class="fieldInput" id="password" wicket:id="password" type="password" />
        </div>
      </fieldset>
  
      <div class="actionsBar">
        <input class="formAction" type="submit" wicket:id="validateButton" value="Validate"> </input>
        <input class="formAction" type="reset" wicket:id="resetButton" wicket:message="value:reset" value="Reset"></input>
      </div>
      <div class="clear" />
  
    </form>
  </wicket:panel>
</body>

</html>
